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2024-103Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to InicconolMe @townofwappingerny.gov or grobinsonna townofWaivingerny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 EOR 114TE NAL USE ONLY Received by: Joseph P. Paoloni 81` Lori McConologue Grace Robinson 0 Date Received: FOIL Ser. #: -a D a�,-[ j] DEPARTMENT: ASSESSOR ACCOUNTING CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES M RECREATION 11 SUPERVISOR El WATER/SEWER DOG CONTROL OFFICER M TOWN ENGINEER TOWN ATTORNEY e�\4�p 10 #icati n for Public Access to Records FOIL REO—OW—t; lift �yFss ti Building D Tow QPartrnent -Lt!2.f!PP1nger, I FOR DEPARTMENT USE ONLY Date Received by Dept q /Z/oy Department Head approval:' Date Applicant Contacted: Date FOIL fulfilled or denied: Closed by: Date- 5- / L /?-jt Notes: jn,,-j citid ewlal dr1ci: �� Elk - Amount Due: -- Pages for a total of $ Name: Y)s E]check here if you are Address:-U_a (�,NCnMt\oA(1Ka Qz�,, Z�- ID1 requesting that the records �Nac 1P i be mailed to this address. Agency or firm:_, " _ _ V4nw"A Qx-�AQ Telephone (?,(4,s ) &Z - (o4(oB FAX4: Email address: LS*xf-,-A FORMAT OF RECORD (if available) I request to be notified when I can come to inspect the record(s) described above 1 request copies of the records described above and agree to pay the cost of such records in -4L r- -I---1 -1- A.- 1-1, tN1W